Fire Safety Compliance Document

FIRE SAFETY COMPLIANCE DOCUMENT

Effective Date:

Contractor / Inspector Name:    Facility Name:

WHEREAS

WHEREAS, Contractor / Inspector named above is duly qualified and experienced to perform fire safety inspections, testing and related corrective work; and

WHEREAS, Facility seeks to obtain a written assessment of current fire safety conditions, identify deficiencies, and document required corrective actions in accordance with applicable codes and accepted professional standards; and

WHEREAS, the parties desire to set forth the scope, payment terms, schedule for correction and re-inspection, confidentiality obligations, and governing law in a binding agreement;

SCOPE OF WORK

INSPECTION DETAILS

Inspection Date:    Time:

Inspector Name:    Company:

License/Cert. No.:

COMPLIANCE CHECKLIST

For each item, mark applicable status and provide notes for deficiencies.

DEFICIENCIES & CORRECTIVE ACTIONS

Required Correction Deadline:    Responsible Party for Correction:

Scheduled Re-inspection Date:

PAYMENT TERMS

Contract Amount: $

Late Payment Fee:    Payments past due beyond agreed schedule shall incur the stated late fee on outstanding balances until paid in full.

TERM AND TERMINATION

Term Commencement Date:    Term Expiration Date:

Either party may terminate this Agreement for cause upon written notice to the other party setting forth the basis for termination. For convenience, either party may terminate upon written notice.

CONFIDENTIALITY

Each party shall keep confidential all non-public information obtained in connection with this Agreement and shall not disclose such information to third parties except as required by law or as necessary to perform the obligations set forth herein. Confidential information excludes information that is or becomes public through no fault of the receiving party.

GOVERNING LAW

This Agreement shall be governed by and construed in accordance with the laws of the State of , without regard to its conflict of laws principles.

ENTIRE AGREEMENT

This document, together with any attachments and written change orders signed by both parties, constitutes the entire agreement between the parties relating to fire safety inspection, corrective actions and related services, and supersedes all prior negotiations, representations or agreements, whether written or oral.

ATTACHMENTS

CERTIFICATION

I hereby certify that, to the best of my knowledge and professional judgment, the inspection described herein was performed in accordance with applicable standards and the observations recorded accurately reflect conditions observed on the inspection date.

Inspector Printed Name:    Inspector Title:

Inspector Company:

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